RISK ASSESSMENT
DATE
*
.
Day
.
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
CONTRACT
*
Please Select
ITT1951- SC Turf OLD
ITT2517- SC Turf NEW
ITT2430- SC Gardens
CN25082- Noosa
OTHER
ZONE
*
JOB LOCATION: Site number, Description, suburb
*
TASK(S): Mowing, whipping, mulching, etc- list all that apply
*
ROAD TYPE
*
Please Select
LR,S
LR,US
MR,S
MR,US
Local Road (LR), Main Roads (MR), Sealed (S), Unsealed (US)
TRAFFIC VOLUME
*
Please Select
VLV
LV
HV
Very Low Volume (VLV), Low Volume (LV), High Volume (HV)
POSTED/ DEFAULT SPEED LIMIT
*
TGS DIAGRAM REF
*
Do you need to review the SWMS before completing this RA?
No
Yes
1. HAZARD: Work Under Traffic
Work under traffic
1. RISK SCORE: Work under traffic
Please Select
M12
2. HAZARD: Pedestrian Traffic
Pedestrian traffic
2. RISK SCORE: Pedestrian Traffic
Please Select
M12
3. HAZARD: Lack of Visibility
Lack of visibility
3. RISK SCORE: Lack of visibility
Please Select
H12
4. HAZARD: Services
Services
4. RISK SCORE: Services
Please Select
H12
5. HAZARD: Lack of road shoulders
Lack of road shoulders
5. RISK SCORE: Lack of road shoulders
Please Select
M9
6. HAZARD: Soft edges
Soft edges
6. RISK SCORE: Soft Edges
Please Select
M9
7. HAZARD: Lack of communications
Lack of communications
7. RISK SCORE: Lack of communications
Please Select
M12
8. HAZARD: Steep drop off
Steep drop off
8. RISK SCORE: Steep Drop off
Please Select
M12
9. HAZARD: Environment
Environment
9. RISK SCORE: Environment
Please Select
M9
10. HAZARD: Plant & Equipment
Plant & equipment
10. RISK SCORE: Plant & equipment
Please Select
M12
11. HAZARD: Manual Handling
Manual handling
11. RISK SCORE: Manual Handling
Please Select
L8
12. HAZARD: Hazardous substances
Hazardous substances
12. RISK SCORE: Hazardous substances
Please Select
M9
13. HAZARD: Sharps
Sharps
13. RISK SCORE: Sharps
Please Select
H12
14. HAZARD: Outdoor Work
Outdoor work
14. RISK SCORE: Outdoor
Please Select
M9
15. HAZARD: Working at heights
Working at heights
15. RISK SCORE: Working at heights
Please Select
H15
16: HAZARD: Other
Other identfied hazard
16: HAZARD: Other
16. RISK SCORE: OTHER
16. CONTROL MEASURES: Other
16. REFERENCES: Other
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